0001437749-15-011406.txt : 20150529 0001437749-15-011406.hdr.sgml : 20150529 20150529182338 ACCESSION NUMBER: 0001437749-15-011406 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150514 FILED AS OF DATE: 20150529 DATE AS OF CHANGE: 20150529 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VIVEVE MEDICAL, INC. CENTRAL INDEX KEY: 0000879682 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 043153858 STATE OF INCORPORATION: B0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 COMMERCIAL STREET CITY: SUNNYVALE STATE: CA ZIP: 94086 BUSINESS PHONE: 4085301900 MAIL ADDRESS: STREET 1: 150 COMMERCIAL STREET CITY: SUNNYVALE STATE: CA ZIP: 94086 FORMER COMPANY: FORMER CONFORMED NAME: PLC SYSTEMS INC DATE OF NAME CHANGE: 19930328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Colella Mark Samuel CENTRAL INDEX KEY: 0001618336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11388 FILM NUMBER: 15900823 MAIL ADDRESS: STREET 1: 2200 SAND HILL ROAD, SUITE 11- CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 rdgdoc.xml FORM 4 X0306 4 2015-05-14 0000879682 VIVEVE MEDICAL, INC. VIVMF 0001618336 Colella Mark Samuel 2200 SAND HILL ROAD, SUITE 110 MENLO PARK CA 94025 1 1 Common Stock 2015-05-14 4 P 0 650026 0.37 A 7310231 I See Common Stock 2015-05-14 4 P 0 25649 0.37 A 288447 I See Shares directly beneficially owned by 5AM Ventures II, L.P. Shares directly beneficially owned by 5AM Co-Investors II, L.P. 5AM Partners II, LLC is the general partner of 5AM Ventures II, L.P. and 5AM Co-Investors II, L.P. and may be deemed to have sole voting and investment power over the shares beneficially owned by 5AM Ventures II, L.P. and 5AM Co-Investors II, L.P. Dr. John Diekman, Andrew Schwab and Dr. Scott Rocklage, the managing members of 5AM Partners II, LLC, and Mark Colella, an assignee of 5AM Partners II, LLC, may be deemed to have shared voting and investment power over the shares beneficially owned by 5AM Ventures II, L.P. and 5AM Co-Investors II, L.P. Each of 5AM Partners II, LLC, Dr. Diekman, Mr. Schwab, Dr. Rocklage and Mr. Colella disclaim beneficial ownership of such shares except to the extent of its or his pecuniary interest therein. /s/ Mark Colella 2015-05-29